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Workers’ Compensation

If you are an employee of the University of Tennessee Space Institute, and have an accidental injury while you are working at your job, then you may be covered by the Workers’ Compensation Program of the State of Tennessee. Please contact the HR office at ext. 37504 if you have any questions or need assistance.

*How to file a claim – if medical treatment required*How to file an “incident only” report – if medical treatment not required

TO FILE A CLAIM if medical treatment required

Steps to follow:

REPORT the accident/injury to your supervisor immediately.

You and your supervisor shall call the Workplace Injury & First Notice of Loss (FNOL) Call Center at 1-866-245-8588, option #1, immediately after the occurrence of the incident. The injured employee will speak with a 24/7 registered nurse to evaluate the nature of the injury and determine immediate care or treatment options. If medical treatment is recommended, the nurse will direct the employee to the nearest State-approved medical provider. The State will not pay any medical expenses you incur from a physician not in the network. Call 911 for Medical Emergencies.

When medical treatment is necessary, your supervisor must arrange to complete the First Notice of Loss (FNOL) reporting process. The supervisor can ask the nurse to transfer call to the Notice of Loss Unit or directly call 1-866-245-8588 and select option #2. If you prefer, the Human Resources personnel can call and complete this process once they receive the “Incident Report” from the employee/supervisor.

EMPLOYEE AND SUPERVISOR MUST COMPLETE AND SIGN the “Incident Report” immediately and return it to the UTSI Human Resources office.

Employee and supervisor must read the Employee and Supervisor Instructions and sign the cover sheet stating they have received and read this document. This is required by the State Division of Claims.

PRESCRIPTIONS: If the injured employee might need a prescription, please stop by the HR office for a “First Fill” form to take to a participating pharmacy. This form allows the employee to fill initial prescriptions with certain limits with no cost to them.

In turn, HR submits a copy to the UTSI Safety Office so they may address any safety concerns and/or reporting requirements. If you need assistance completing the forms, please contact the Human Resources Office at ext. 37504.

Steps to follow:

REPORT the accident/injury to your supervisor immediately.

You and your supervisor shall call the Workplace Injury & First Notice of Loss (FNOL) Call Center at 1-866-245-8588, option #1, immediately after the occurrence of the incident. The injured employee will speak with a 24/7 registered nurse to evaluate the nature of the injury and determine immediate care or treatment options. State to the nurse that it is a REPORT ONLY – NOT SEEKING MEDICAL TREATMENT.

EMPLOYEE AND SUPERVISOR MUST COMPLETE AND SIGN the “Incident Report” immediately and return it to the UTSI Human Resources office. Employee and supervisor must read the Workers’ Compensation Instructions/Procedures handout and sign the cover sheet stating they have received and read this document in the event that the injury progresses to the point of needing medical care.

The University strongly encourages anyone who has a minor incident that does not require medical treatment to file an “incident only” report.Supervisors should submit an “incident-only” report for a work-related injury or illness, which does not involve medical attention or time lost from work, or for which an employee refuses to file a claim. If the minor incident develops into something more significant, there will be a record on file. Please contact the FNOL call center and return the required forms to the UTSI Human Resources Office as stated above.In turn, HR submits a copy to the UTSI Safety Office so they may address any safety concerns and/or reporting requirements.

Please contact the HR office at ext. 37504 if you have any questions or need assistance.